New Jersey's Best Medicare Supplement Plans & Companies
What are the Best Medicare Supplement Plans in New Jersey?
Medigap plans (also known as Medicare Supplements) help New Jersey beneficiaries pay out-of-pocket costs in Original Medicare. The best plan pays as many costs as possible at a price you can afford.
In this article, you'll discover how much Medigap plans in New Jersey cost, which plans are available, when and how to enroll (without underwriting), what gaps they cover, and how you can get premiums and discounts on all Medicare plans where you live.
Table of Contents
What You Need to Know
- New Jersey Medigap plans are offered by private insurance companies.
- Medigap policies are available in 10 different plan options, labeled A through N.
- Medigap coverage is available to New Jersey residents at age 65 and over who have enrolled in both Medicare Part A and Part B.
- All standard plans offer coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B coinsurance or copayments, and the first three pints of blood.
- All but two Medigap plans cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- Medigap insurance does not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
Do New Jersey Beneficiaries Need a Medicare Supplement?
Even though Medicare Part A and Part B (Original Medicare) will pay about 80% of all medically necessary healthcare costs, you are responsible for the remaining 20%. These healthcare expenses come to you through deductibles, coinsurance, and copays, and they can add up fast.
Most Medicare-approved health services have a deductible and/or a copayment or coinsurance. If you need hospital inpatient care, out-of-pocket expenses are considerable, creating bills most New Jersey seniors simply can't afford.
For instance, the Medicare Part A deductible is $1,600 per benefit period. Plus, you are responsible for 20% of all Part B medical costs.
That's where supplemental Medicare coverage in New Jersey comes in. Supplemental insurance, or Medigap, helps you with these Medicare coverage expenses. It's called Medigap because it fills many of the cost gaps in Original Medicare.
Also See: Is Supplemental Medicare Insurance a Waste of Money?
Is a Medicare Supplement Right for You?
Yes, if you:
- Expect the need for frequent healthcare services now and/or in the future and want to limit your deductibles and co-pays.
- Can afford the monthly premiums of Medicare Supplement insurance and don't qualify for Medicaid.
- Want the freedom to choose your doctors and other Medicare providers without network restrictions.
- Need nationwide coverage and/or travel abroad and need coverage for emergency care.
- Are in your initial enrollment period and have guaranteed issue rights to join a plan regardless of your health condition.
- Don’t want a Medicare Advantage plan and the hassle of referrals and pre-authorization to receive services.
No, if you:
- Don’t expect the need for frequent healthcare now or in the future.
- Missed your Medigap open enrollment period and can't pass medical underwriting to get the Medigap policy you want.
- Want a Medicare Advantage plan with low or no monthly premiums.
- Have Medicaid, VA, retiree benefits, or other coverage options that will pay for most of your Medicare out-of-pocket expenses.
- Prefer an all-in-one HMO or PPO plan that includes a Part D prescription drug plan, SilverSneakers, and routine care for dental, vision, and hearing.
- Can adhere to the rules and restrictions of a Medicare Advantage.
What Do Medicare Supplements Cover?
Every Medigap insurance company in New Jersey is required to follow both federal and state insurance laws. Carriers must offer the standardized Medicare plans identified by letters A through N.
For instance, a Plan F from Aetna Medicare has the same coverage and benefits as a Plan F from Mutual of Omaha, AARP Medicare, United Healthcare, Humana, Cigna, or Blue Cross Blue Shield. This is why Medigap plans are easier to compare than Medicare Advantage plans.
Medigap policies may include the following benefits:
- Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
- Part A inpatient deductible
- Part A hospice care coinsurance or copayment
- Skilled nursing facility care and hospice care coinsurance
- Part B deductible
- Part B coinsurance or copayment
- Part B excess charges
- The first three pints of blood
- Foreign travel emergency services
- Out-of-pocket limits
The plan comparison chart below is the best way to compare Medicare Supplement coverage options.
There are two high-deductible plan types, Plan F and G. If you enroll in a high-deductible plan, you pay all Part A and Part B out-of-pocket costs up to the annual deductible amount.
Related: How High Deductible Plan G Works
Insurance carriers are free to choose their plans, although New Jersey state laws might affect which ones they can offer. For more information, visit the New Jersey Department of Insurance website at http://www.dobi.nj.gov/.
Most Popular Medigap Plans in New Jersey
A Medigap plan is gap coverage you can buy from a private insurance company. A Medigap policy will lower or eliminate your hospital coverage (Medicare Part A) and medical coverage (Medicare Part B) costs.
The three best-selling Medigap plans in New Jersey are Plan F, Plan G, and Plan N, the latest plan. The coverage they provide is what makes them the most popular. They offer the best protection against Original Medicare's out-of-pocket costs.
Although Plan F covers all gaps in Original Medicare, it is only available to individuals who qualified for Medicare prior to January 1, 2020.
Plan G is the best coverage you can get if you qualify for Medicare this year. It covers all gaps except the Part B annual deductible.
Plan N is the best coverage for healthy individuals. That's because it doesn't cover the Part B deductible or Medicare Part B excess charges. If you enroll in this plan, you'll pay a small $20 copayment for some doctor office visits and a $50 copayment for emergency room visits (unless admitted as an inpatient).
- Best Medicare Supplement Plan F in New Jersey
- Best Medicare Supplement Plan G in New Jersey
- Best Medicare Supplement Plan N in New Jersey
Also See: Medicare Plan F vs Plan G: Which is Better in 2023?
Looking for a different Medicare Supplement plan in your location? Ask us for free quotes on the best Medigap Plans in New Jersey that interest you.
Top 10 Plan F in New Jersey
Medicare Supplement Plan F is the most popular Medigap plan available in New Jersey. Here are the 10 best Plan F policies available in New Jersey based on our reviews (click for details):
Top 10 Plan G in New Jersey
Medicare Supplement Plan G is rapidly gaining popularity with New Jersey seniors. With Plan F no longer available to new Medicare beneficiaries, Plan G is the new gold standard. Here are the 10 best Medigap Plan G policies available in New Jersey based on our reviews (click for details):
Cost of Medicare Supplements in New Jersey
The Medicare.gov website shows the average cost of Medicare supplemental insurance in New Jersey on the plan finder page. What the tool does not show is the exact price, the rate increase history for Medigap plans, AM Best rating score, and household discounts.
Our FREE Medicare Supplement Plan Rate Quote Service gives you your exact cost on all carriers, discounts, ratings, rate increase history, and more.
The next step is to get a FREE Medigap Rate Comparison Report. It will arm you with all of the information you need to make an informed decision.
Get Your Free Medicare Supplement Rate Comparison
MedicareWire is a Medicare consulting agency. We are not insurance agents. Our job is to help people navigate Medicare without marketing interference.
Our free report will show you rates from all carriers without a sales pitch. No Calls. No Email Spam. No Kidding!
If you would prefer to speak with an agent, our preferred, nationwide agency is HealthCompare, an Allstate company. Give them a call at 1-855-728-0510 (TTY 711).
How to Choose the Best Medigap Plan
The cost of healthcare in New Jersey continues to rise and everyone's needs are different. Age, sex, zip code, use of medical services, providers, emergency care, supplies, and durable medical equipment all play a part in what you need to consider.
Let's explore how to find the best coverage for you.
When "Best" Means "Most Coverage Available"
If you are signing up for Medicare with chronic health issues, or if you have done a good job saving for your retirement, most experts agree that Plan G is the best option in New Jersey. It offers the most coverage you can buy if you're getting your Medicare benefits in 2023.
When "Best" Means "Good Coverage and Monthly Savings"
If you are signing up for Medicare in excellent health, or if you need good coverage but can't handle the cost of Plan G, Plan N is a good option. Plan N offers comprehensive inpatient coverage for hospital stays, while also covering most medical care expenses.
When "Best" Means "Lowest Cost Coverage"
Not everyone in New Jersey can afford or needs the comprehensive coverage provided by Plans F, G, and N. When the amount of your monthly premium is a concern, ask your insurance agent to give you advice about Plan K and High Deductible Plan G (HDG). These are the two lowest-cost plans available.
Medigap Eligibility Requirements
You can apply for Medigap coverage in New Jersey during your Medigap Open Enrollment Period (OEP). Your OEP is a six-month time period that begins when you enroll in Medicare Part B at age 65.
Federal law grants you guaranteed issue rights during your Medigap Open Enrollment Period. You can get the Medicare Supplement plan you want, regardless of any chronic conditions.
Once your open enrollment period is over, getting Medicare supplemental insurance is more difficult. This is one of the disadvantages of Medicare supplemental insurance.
An insurance company can ask you health questions, charge you a higher premium, or reject your application due to your health history. The carrier also has the option to offer coverage with a six-month waiting period before your coverage begins.
NOTE: You are not eligible for Medicare at 62 if you retire early to go on Social Security.
New Jersey Enrollment Process for Medicare Supplements
New Jersey Medigap plan enrollees require the assistance of a licensed insurance agent. Before you can apply, you need to be enrolled in both Medicare Part A and Part B. You can do this through the Social Security Administration website, or by calling them directly at 800-772-1213.
If you don't have an insurance agent, we recommend HealthCompare, an Allstate company. Call them at 1-855-728-0510 (TTY 711). They work with all major New Jersey plans. There's no obligation.
Another option is your local SHIP. The State Health Insurance Assistance Programs (SHIPs) provide free, one-on-one insurance counseling and assistance to Medicare beneficiaries. New Jersey's SHIP is available by phone (1-800-792-8820 (in state only); 1-877-222-3737 (out of state)) or through their website.
Adding a Medicare Prescription Drug Plan
In the past, Medicare Supplements sold in New Jersey were allowed to add extra benefits, including prescription drug coverage. This is no longer the case.
The only way to get coverage on prescriptions with a Medigap policy now is to get a New Jersey Medicare Part D plan. In most areas of New Jersey, basic prescription drug plans start at less than $20 per month.
New Jersey Medicare Supplements vs. Medicare Advantage
It's natural to compare the best Medigap insurance with other health insurance plans, like Medicare Advantage. On the surface, Medicare Advantage plans appear to cost less. And, in some cases, they do save money. However, the out-of-pocket expenses in most New Jersey Medicare Advantage plans are as much or more than Original Medicare.
Original Medicare does not have an out-of-pocket maximum. However, all health insurance companies offering Medicare Advantage plans are required to set an annual out-of-pocket limit, up to the annual limit set by CMS. A Medigap plan's coverage creates an out-of-pocket limit for Original Medicare.
Can I Get a Policy If I'm On Medicaid in New Jersey?
It is not legal for a health insurance company or insurance agents licensed in New Jersey to sell individuals a Medigap policy if you have Medicaid benefits.
If you can't afford a Medigap plan or the co-insurance costs in Medicare Advantage policies, there is a third option. Many areas of New Jersey have access to dual-eligible Medicare Special Needs Plans (D-SNP). If you qualify for both Medicare and Medicaid, a New Jersey Special Needs Plan plan might be your best option.
What About Dental, Vision, and Hearing Benefits?
We all need routine dental care and dental restoration work as we age, but it's not covered by Original Medicare or a Medigap plan. For coverage, you'll need a stand-alone New Jersey dental insurance policy.
Next Steps
The next step is to get a FREE Medigap Rate Comparison Report. It will arm you with all of the information you need to make an informed decision.
Get Your Free Medicare Supplement Rate Comparison
MedicareWire is a Medicare consulting agency. We are not insurance agents. Our job is to help people navigate Medicare without marketing interference.
Our free report will show you rates from all carriers without a sales pitch. No Calls. No Email Spam. No Kidding!
If you would prefer to speak with an agent, our preferred, nationwide agency is HealthCompare, an Allstate company. Give them a call at 1-855-728-0510 (TTY 711).
Frequently Asked Questions (FAQs)
Medicare Supplement Plan G premiums vary per. Premiums are based on things like your age, gender, zip code, use of tobacco, and more. We offer a Free Medicare Plan Quote Service to help you find the lowest price available on Plan G in New Jersey.
You have many options in New Jersey. Here are some of the best:
- Thrivent
- Omaha Insurance Company
- MassMutual
- AARP
- Reserve National
Citations & References
medicare.gov- Costs of Medigap policies, Medicare.gov, Last Accessed February 2, 2023
- What's Medicare Supplement Insurance (Medigap)?, Medicare.gov, Last Accessed February 2, 2023
- Find a Medigap policy that works for you, Medicare.gov, Last Accessed February 3, 2023
- How to compare Medigap policies, Medicare.gov, Last Accessed February 3, 2023
- How Original Medicare works, Medicare.gov, Last Accessed February 3, 2023
- Your Medicare coverage choices, Medicare.gov, Last Accessed February 5, 2023
- The United States Social Security Administration https://www.ssa.gov/
- Medicare Benefits | SSA https://www.ssa.gov/benefits/medicare/